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NPI · 1487700464 · NPPES-sourced

Idaho Falls Dermatology P A

ActiveSpecialist
NPI Number
1487700464
Type 2 · Organisation
Taxonomy Code
174400000X
Contact
(208) 522-8945
License ID · 5809M
Last Updated
Enumerated
Primary practice addressID · 83404-6374
2001 S Woodruff Ave, Ste 12aIdaho Falls, ID 83404-6374
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About this NPIWhat this record shows.

NPI 1487700464 is registered to Idaho Falls Dermatology P A, a healthcare organisation classified as "Specialist" and located at 2001 S Woodruff Ave, Ste 12a in Idaho Falls, Idaho. The organisation's authorised official is Cornelius Brooke. The organisation has been enumerated in the NPI registry since 2007.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Other

  • 77186ID· Issued by BLUE CROSS

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Idaho Falls Dermatology P A accepts. To confirm in-network status with your specific health plan, contact Idaho Falls Dermatology P A directly at (208) 522-8945.

Frequently asked

Yes. NPI 1487700464 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Specialist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (208) 522-8945.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Idaho Falls Dermatology P A is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy174400000X
Last updated
Enumerated
StatusActive
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